Decídetexto: Mobile cessation support for Latino smokers. Study protocol for a randomized clinical trial.

Decídetexto: Mobile cessation support for Latino smokers. Study protocol for a randomized clinical trial.
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Decídetexto:为拉丁裔吸烟者提供移动戒烟支持。随机临床试验的研究方案。

DOI:
10.1016/j.cct.2020.106188
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发表时间:
2020-12
影响因子:
2.2
通讯作者:
Cupertino AP
Cupertino AP
中科院分区:
医学4区
文献类型:
--
作者:
Cartujano-Barrera F;Arana-Chicas E;Catley D;Cox LS;Diaz FJ;Ellerbeck EF;Graves KD;Ogedegbe C;Cupertino AP

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拉丁裔是美国最大的少数民族,经历与烟草有关的不平等,包括获得戒烟资源的机会有限。证据支持移动的戒烟干预措施的有效性,这可能是更大的拉丁美洲人,短信的最高用户。描述一项随机临床试验的方法学,以评价Decídetexto(一种文化上适当的移动的戒烟干预与标准治疗)对拉丁裔吸烟者第6个月戒烟(经可替宁验证的7天时点戒烟率)的影响。拉丁裔吸烟者(N=618)将被随机分配至两种条件之一:1)Decídetexto或2)标准治疗。Decídetexto是一种移动的戒烟干预(有英语和西班牙语版本),包含3个集成组件:1)基于平板电脑的软件,可收集吸烟相关信息以制定个性化戒烟计划,2)具有互动功能的24周短信咨询计划,以及3)药物治疗支持。本文以社会认知理论为理论框架。标准治疗包括沿着印刷的戒烟材料,以及电话戒烟热线。两组受试者均可通过拨打研究电话号码获得免费药物治疗(尼古丁贴片或口香糖)。Promotores de Salud将依靠基于社区的方法和临床环境招募吸烟者参与研究。所有受试者将在第12周和第6个月完成随访评估。如果成功,Decídetexto将准备在不同的社区和诊所环境中实施,以减少与烟草有关的差异。
Latinos, the largest minority group in the U.S., experience tobacco-related disparities, including limited access to cessation resources. Evidence supports the efficacy of mobile interventions for smoking cessation, which may be greater among Latinos, the highest users of text messaging. To describe the methodology of a randomized clinical trial to evaluate the impact of Decídetexto, a culturally appropriate mobile smoking cessation intervention versus standard care on smoking abstinence (cotinine-verified 7-day point prevalence abstinence) at Month 6 among Latino smokers. Latino smokers (N=618) will be randomized to one of two conditions: 1) Decídetexto or 2) standard of care. Decídetexto is a mobile smoking cessation intervention (available in English and Spanish) that incorporates 3 integrated components: 1) a tablet-based software that collects smoking-related information to develop an individualized quit plan, 2) a 24-week text messaging counseling program with interactive capabilities, and 3) pharmacotherapy support. Decídetexto follows the Social Cognitive Theory as theoretical framework. Standard of care consists of printed smoking cessation materials along with referral to telephone quitline. Participants in both groups are given access to free pharmacotherapy (nicotine patches or gum) by calling study phone number. Promotores de Salud will rely on community-based approaches and clinical settings to recruit smokers into the study. All participants will complete follow-up assessments at Week 12 and Month 6. If successful, Decídetexto will be ready to be implemented in different community- and clinic-based settings to reduce tobacco-related disparities.
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